PAEA Surgery End Of Rotation (EOR) Practice Exam

What complication can arise from a patient with Class C cirrhosis undergoing a liver resection?

1. Increased bleeding risk

2. Improved liver capacity

3. Lower cancer recurrence rates

4. No change

The correct answer is: Increased bleeding risk

When considering a patient with Class C cirrhosis undergoing a liver resection, the increased bleeding risk is a significant complication that may arise. Class C cirrhosis represents advanced liver disease, typically associated with severe impairment of liver function, portal hypertension, and alterations in coagulation status. Patients with advanced liver disease often have altered platelet function and decreased synthesis of clotting factors, which can lead to coagulopathy and increased susceptibility to bleeding during and after surgical procedures. In contrast, the other options do not accurately reflect the potential outcomes of surgery in a patient with Class C cirrhosis. Improved liver capacity would be unlikely since the underlying liver function is severely compromised. Lower cancer recurrence rates are not typically observed; in fact, the risks associated with liver resection in such patients may lead to poorer overall outcomes rather than lower recurrence. Lastly, stating that there is no change overlooks the significant implications that the patient's liver function status has on surgical risks and complications, particularly regarding bleeding.